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        <title>Anmeldung Berufsschule</title>
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                    <strong>heinrich-hertz-europakolleg<br>der bundesstadt bonn<br>Herseler Stra&szlig;e 1<br>53117 Bonn</strong>
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                    <u>F&uuml;r R&uuml;ckfragen zust&auml;ndig:</u><br>
                    Gestaltung, Holz, Vermessung<br>
                    Informatik, Metall<br>
                    Elektro, KFZ,  Versorgung<br>
                    <br>
                    Fax-Nr. (Frau P&uuml;tz, Frau R&uuml;ckert)<br>
                    Fax-Nr. (Frau Rehfeld)<br>
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                    <br>
                    (Frau P&uuml;tz,    Telefon: 0228 /77-7001)<br>
                    (Frau Rehfeld, Telefon: 0228/77-7002)<br>
                    (Frau R&uuml;ckert, Telefon: 0228/77-7003)<br>
                    <br>
                    0228/77-7010<br>
                    0228/77-7005<br>
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                    <strong><span style="padding: 3pt; border: 1px black solid">${REPLACE SchuelerWebID}</span></strong>
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                        <div align="center"><strong><u>ANMELDUNG ZUR BERUFSSCHULE</u></strong></div>
                        <div align="center"><strong><u>(bitte in Druckbuchstaben vollst&auml;ndig ausf&uuml;llen !)</u></strong></div>
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                        <div>Name:</div>
                        <div>${REPLACE Name}</div>
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                        <div>Vorname:</div>
                        <div>${REPLACE Vorname}</div>
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                        <div>Geburtsdatum:</div>
                        <div>${REPLACE Geburtsdatum}</div>
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                    <td valign="top" colspan="5">
                        <div>Geburtsort:  ${REPLACE Geburtsort}</div>
                        <div>Geburtsland: ${REPLACE Geburtsland}</div>
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                        <div>Staatsangeh&ouml;rigkeit:</div>
                        <div>${REPLACE StaatKrz}</div>
                        <div>&nbsp;</div>
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                    <td valign="top" colspan="3">
                        <div>Religion:</div>
                        <div>${REPLACE ReligionAbk}</div>
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                        <div>Sp&auml;taussiedler:</div>
                        <div>${REPLACE AussiedlerExport}</div>
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                        <div><u>Anschrift</u></div>
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                        <div>Stra&szlig;e: ${REPLACE Strasse} ${REPLACE Hausnr}</div>
                        <div>PLZ / Ort: ${REPLACE PLZ} ${REPLACE OrtAbk}</div>
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                        <div><u>Anschrift</u></div>
                        <div>Stra&szlig;e: ${REPLACE Strasse} ${REPLACE Hausnr}</div>
                        <div>PLZ / Ort: ${REPLACE PLZ} ${REPLACE OrtAbk}</div>
                        <div>&nbsp;</div>
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                        <div>Telefon:</div>
                        <div>${REPLACE Telefon}</div>
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                        <div>Handy:</div>
                        <div>${REPLACE Handy}</div>
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                        <div>eMail:</div>
                        <div>${REPLACE Email}</div>
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                        <div>Name der/des Erziehungsberechtigten:</div>
                        <div>${REPLACE Anrede1} ${REPLACE Vorname1} ${REPLACE Name1}</div>
                        <div>&nbsp;</div>
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                        <div>Anschrift der/des Erziehungsberechtigten (falls abweichend von oben):</div>
                        <div>Stra&szlig;e: ${REPLACE ErzStrasse}</div>
                        <div>PLZ / Ort: ${REPLACE ErzPLZ} ${REPLACE ErzOrt}</div>
                        <div>&nbsp;</div>
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                        <div><u>Zuletzt besuchte Schule</u></div>
                        <div>Schulform: ${REPLACE LSSchulFormSIM}</div>
                        <div>Name der Schule: ${REPLACE LSName}</div>
                        <div>Ort der Schule: ${REPLACE LSOrt}</div>
                        <div>Jahr der Entlassung: ${REPLACE LSSchulentlassDatum}</div>
                        <div>Entlassen aus Klasse: ${REPLACE LSKlasse}</div>
                        <div>Art des Abschlusses: ${REPLACE LSAbschlussArt}</div>
                        <div>&nbsp;</div>
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                        <div><strong>Ausbildungsberuf</strong> und</div>
                        <div><u>genaue Fachrichtung</u>: ${REPLACE Beruf}</div>
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                        <span>Vertragliche Ausbildungszeit:</span>
                        <div>vom: ${REPLACE Vertragsbeginn} bis: ${REPLACE Vertragsende}</div>
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                        <div>Ausbildungsbetrieb:</div>
                        <div>${REPLACE AllgAdrName1}</div>
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                        <div>Anschrift:</div>
                        <div>${REPLACE AllgAdrStrasse}, ${REPLACE AllgAdrPLZ} ${REPLACE AllgAdrOrt}</div>
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                        <div>Telefon:</div>
                        <div>${REPLACE AllgAdrTelefon1}</div>
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                    <td valign="top" colspan="3">
                        <div>Telefax:</div>
                        <div>${REPLACE AllgAdrFax}</div>
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                        <div>eMail:</div>
                        <div>${REPLACE AllgAdrEmail}</div>
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                        <div>Ausbildungsleiter:</div>
                        <div>${REPLACE AusbilderAnrede} ${REPLACE AusbilderVorname} ${REPLACE AusbilderName}</div>
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                    <td valign="top" colspan="3">
                        <div>Telefon:</div>
                        <div>${REPLACE AusbilderTelefon}</div>
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                    <td valign="top" colspan="3">
                        <div>Telefax:</div>
                        <div>${REPLACE AusbilderFax}</div>
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                    <td valign="top" colspan="3">
                        <div>eMail:</div>
                        <div>${REPLACE AusbilderEmail}</div>
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                        <div>Bemerkung:</div>
                        <div>${REPLACE Bemerkung}</div>
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